Physical Therapy Services of Grand Rapids, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSICAL THERAPY SERVICES OF GRAND RAPIDS, LLC

Practice address

4070 Lake Dr SE
Suite: 204
Grand Rapids, MI 49546-8294

Phone

(616) 481-3690

NPI assigned

Jun 10, 2008

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kathy Lou Carrier, PT

Title

Member

Phone

(616) 481-3690

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1295995629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 LAKE DR SE",
            "address_2": "SUITE: 204",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468294",
            "telephone_number": "616-481-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 LAKE DR SE",
            "address_2": "SUITE: 204",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468294",
            "telephone_number": "616-481-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES OF GRAND RAPIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "CARRIER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-481-3690",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamoya Phipps
• Mary Catherine Phipps, RN
• Paige Nicole Phizacklea, RD
• Dessandra Phonxana
• Dominique Phua
• Physician's Home Network, PLLC
• Physicians Dialysis Acquisitions Inc (PDI Grand Rapids)
• Physicians Dialysis Acquisitions Inc (PDI Grand Rapids East)
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc (NovaCare Rehabilitation)

• Physical Therapy Clinic/Center in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.